EP3721830B1

EP3721830B1 - Dental implant abutment copings

Info

Publication number: EP3721830B1
Application number: EP20174229.3A
Authority: EP
Inventors: Vincent J. Morgan; Robert E. Vasile
Original assignee: Bicon LLC
Current assignee: Bicon LLC
Priority date: 2016-03-09
Filing date: 2017-03-09
Publication date: 2022-05-04
Anticipated expiration: 2037-03-09
Also published as: EP3426186A4; US10136967B2; EP3426186A1; US20170258558A1; US20190167387A1; EP3721830A1; EP3426186B1; ES2923512T3; WO2017156281A1; ES2811398T3; US11202693B2

Description

BACKGROUND

Dental implants are often the best treatment for missing teeth. When a tooth is removed, both the visible part of the tooth, called the crown, and the root are lost.
A dental implant can be placed in the jawbone so that it can be fused with natural bone and become a strong and sturdy foundation for replacement teeth. Implants can be used to replace an individual tooth or for an implant-supported bridge or denture containing multiple teeth.
A dental implant abutment is a device that connects the prosthetic tooth/teeth to the dental implant. The replacement tooth is custom made to match a patient's natural teeth and is sometimes referred to as a crown or dental prosthesis.
US 2010/159417 A1 dental coping includes a partially circumferential rib or other engagement feature formed on the coronal portion of the interior surface of the coping that removably engages a groove formed in the corresponding surface of an abutment, implant, analog or other component and enables tactile verification (such as a snap feel) that the coping is properly positioned on the component. The engagement feature may include one or more tapered surfaces. The coping is optionally provided with an interior alignment surface that corresponds to an alignment surface formed on the exterior surface of the dental component, as well as having an optional external alignment feature that enables external visual and tactile assistance in aligning the internal alignment surfaces of the coping and component. The coping also may include one or more chamfered or cylindrical surfaces to provide a precision fit of the coping on the component.
US 2010/0209877 A1 describes a system for taking an impression of an implant implanted in a patient's body may comprise an abutment comprising an implant engaging portion and a component supporting portion. The implant engaging portion may be configured to engage with an implant configured to be implanted in a patient's body and the component support portion may comprise at least one retention groove. The system may further comprise an impression coping configured to receive the component supporting portion and comprising at least one protrusion feature configured for snap-fit engagement with the at least one retention groove, wherein the impression coping is made from a material comprising metal.
EP 1 296 611 A1 describes a prosthodontic assembly comprises a restoration having a cavity defined by a first surface and an abutment positioned within the cavity. The assembly further comprises a plurality of standoffs positioned in between the first surface and the abutment to provide a gap. Methods for forming the restoration are also disclosed.

SUMMARY OF THE INVENTION

The invention is the dental prosthesis system as defined in the appended claims.
Disclosed is also a dental abutment coping for securing a dental prosthesis to a dental abutment. The dental abutment coping has a body extending from a closed or open end to an open end along a longitudinal axis and the body includes a cavity extending from an opening in the open end of the dental abutment coping. The body has an exterior surface adapted to be inserted into a corresponding interface cavity of the dental prosthesis, a peripheral region of the open end extending around the opening and having a beveled surface oriented towards the longitudinal axis at an angle relative to the longitudinal axis, and an interior surface sized to accept a prosthetic head of the dental abutment. The interior surface has a tapered interior region and an interface interior region, with the interface interior region being between the peripheral region and the tapered interior region. The tapered interior region defines an increasing internal diameter of the cavity between a closed end of the cavity and the interface interior region. The angle of the beveled surface may be between 12° and 18° relative to the longitudinal axis. In some embodiments, the dental abutment coping is symmetric about the longitudinal axis with respect to the longitudinal axis.
In some embodiments, the exterior surface includes one or more channels configured to contain a mechanical or an adhesive bond of the exterior surface to the dental prosthesis. The channels may be two counter-rotating spiral channels.
In some embodiments, the exterior surface includes a tapered exterior region extending along the longitudinal axis, and the tapered exterior region forms an increasing exterior diameter of the body along the central axis. In some embodiments, the exterior surface further includes a flat exterior region having a surface parallel the longitudinal axis, with the tapered exterior region extending from the closed end to the flat exterior region, and the tapered exterior region forming an increasing exterior diameter of the body from the closed or open end to the flat exterior region. The taper angle may be between 3° and 8°.
In some embodiments, the interface interior region is positioned adjacent to both the peripheral region and the tapered interior region.
In some embodiments, the interface interior region has an interface surface substantially parallel to the longitudinal axis.
In some embodiments, the interface interior region comprises a second beveled surface oriented inward (towards the longitudinal axis) at an angle relative to the longitudinal axis. The angle of the second beveled surface may be greater than the angle of first beveled surface.
Another example embodiment is a dental prosthesis system having a plurality of dental abutments, a dental prosthesis including a plurality of interface cavities, a first dental abutment coping, and a second dental abutment coping. The first and second coping have a body extending from a closed or open end to an open end along a longitudinal axis, the body defines a cavity extending from an opening in the open end of the first and second dental abutment copings. The bodies of the first and second copings having an exterior surface adapted to be inserted into one of the interface cavities of the dental prosthesis, a peripheral region of the open end extending around the opening and having a first beveled surface oriented towards the longitudinal axis, and an interior surface sized to accept a head of each of the plurality of dental abutments, the interior surface having a tapered interior region and an interface interior region, the interface interior region being between the peripheral region and the tapered interior region, and the tapered interior region defining an increasing internal diameter of the cavity between a closed or open end of the cavity and the interface interior region. The interface region of the first coping having an interface surface substantially parallel to the first longitudinal axis and the interface region of the second coping includes a second beveled surface oriented towards the longitudinal axis at an angle relative longitudinal axis.
In some embodiments, the exterior surfaces of the first and second dental abutment copings includes one or more channels containing a mechanical or an adhesive bond of the exterior surface to the dental prosthesis.
In some embodiments, the plurality of dental abutments includes a retention element with a base oriented towards an apical end of the dental implant and a shoulder oriented towards a coronal end of the dental abutment at an angle relative a second longitudinal axis such that the perimeter of the retention element increases with increasing distance from the coronal end of the dental abutment through the region of the shoulder, a post extending from the apical end of the dental abutment to the base of the retention element, and a head extending from the coronal end of the dental abutment to the shoulder of the retention element.
In some embodiments, the heads of the plurality of dental abutments have a cone angle between 3° and 8°, and the tapered exterior region of the first and second copings have a taper angle between 2° and 4°.
In some embodiments, the shoulders of the dental abutments are oriented at an angle of at least 12.5° relative to the central axis of each dental abutment, and the angle of the first beveled surface of the first and second copings is at least 12.5° relative to their longitudinal axis.
In some embodiments, each dental abutment further includes a cylindrical neck element between the head and the retention element, the interface surface of the first coping accepts the neck element of a first dental abutment in a retentive friction fit, and the second beveled surface of the second coping accepts the neck element of a second dental abutment.
Another example embodiment is a method of attaching a removable dental prosthesis to a plurality of dental abutments using a corresponding plurality of copings. The method includes placing one of the copings on each of the plurality of dental abutments, applying a mechanical locking or an adhesive to the exterior surface of each coping, pressing the copings into corresponding interface cavities in the dental prosthesis, bonding the copings to the dental prosthesis, and removing the dental prosthesis and bonded coping from the plurality of dental abutments. In some embodiments, the plurality of dental abutments are non-parallel, and at least one of the plurality of dental abutments is in a retentive interface fit with one of the corresponding plurality of copings, and at least one of the plurality of dental abutments is in passive fit with one of the corresponding plurality of copings.

BRIEF DESCRIPTION OF DRAWINGS

Figures 1A and 1B show a dental implant and dental abutment before and after the addition of a crown, respectively.
Figure 2A is a side view of a dental abutment. Figures 2B and 2C depict the cross section and coronal views of the abutment in Figure 2A, respectively.
Figures 3A and 3B show two dental abutments of different sizes with and without a crown.
Figures 4A and 4B show two dental abutments of different configurations with and without a crown.
Figures 5A - 5C show a dental prosthesis supported by multiple dental abutments.
Figures 6A and 6B are, respectively, a front view and a side cross-sectional view of an angled dental abutment.
Figures 7A and 7B are, respectively, illustrations of retentive and passive fit dental abutment copings.
Figures 8A and 8B are, respectively, a side cross-section view and a front view of a retentive-fit dental abutment coping.
Figure 9 is an illustration of the retentive fit dental abutment coping of Figure 8A fitted to the head of a dental abutment.
Figure 10A and 10B are, respectively, a side cross-section view and a front view of a passive-fit dental abutment coping.
Figure 11 is an illustration of the retentive-fit dental abutment coping of Figure 10A fitted on the head of a dental abutment.
Figure 12 is an illustration of a plurality of dental abutment copings being inserted into a dental prosthesis to fit the dental prosthesis to multiple dental abutments.
Figures 13A and 13B are cross-section views of two dental abutment copings of different configurations showing with the measurement of the surface angles.
Figures 14A and 14B are, respectively, perspective and side cross-section views of a retentive-fit dental abutment coping having a thru opening.
Figure 14C is a front perspective view of the retentive-fit dental abutment coping having a thru opening of Figures 14A and 14B.
Figures 15A-D are perspective and cross-sections views of a passive and retentive copings having an exterior shoulder.

DETAILED DESCRIPTION

Figure 1A shows a dental abutment 100 engaged in a dental implant 110 which has been placed in a patient's jawbone 112. Figure 1B shows the dental abutment 100 and the dental implant 110 after a crown 114 has been placed on the dental abutment 100.
The dental abutment 100 in Figure 1A extends from the apical end 116 (i.e. toward the jaw) to the coronal end 118 (i.e. toward the crown) in the longitudinal direction. The dental abutment 100 has a post 120, which is designed to be received by the open end of the dental implant 110. The post 120 extends from the apical end 116 of the dental abutment 100 to a retention element 122. The dental abutment 100 also has a coronal portion (or head) 123 which designed to support the crown 114. The coronal portion 123 extends from the coronal end 118 of the dental abutment 100 to the retention element 122.
The dental abutment 100 can be made out of a variety of materials, including titanium alloy or polyether ether ketone (PEEK).
Figures 2A-2C shows the dental abutment 100 in isolation to more clearly illustrate features of the dental abutment 100.
The post 120 is substantially cylindrical, which allows for the 360° rotation of the dental abutment 100 while it is being seated into the dental implant 110 (see Figures 1A and 1B) in order to facilitate a dentist's correct orientation of the prosthesis or crown 114 (see Figure 1B), either intra-orally or extra-orally. This cylindrical shape provides the opportunity for the prosthesis to be used to orient and initially seat the abutment in the well of the implant. The simplicity of the cylindrical shape affords for improved manufacturability and also makes the dental abutment 100 compatible with a number of different types of dental prostheses. While substantially cylindrical, the post 120 is tapered to provide a friction fit connection which is a locking taper between the post 120 and the dental implant 110 (see Figures 1A and 1B). This configuration can facilitate seizing, galling or cold welding between the post 120 and the dental implant 110.
Once fully engaged, this mechanism limits or prevents unintentional rotation and micro-movement between the dental abutment 100 and dental implant 110 (see Figures 1A and 1B). The locking taper can also provide a bacterial seal between the two components. The angle α between sides of the post 120 and a longitudinal axis 124 of the dental abutment 100 is approximately 1.3°. Depending on the dental abutment variant, the angle between sides of the post 120 and a longitudinal axis 124 of the dental abutment 100 is typically between 1.1° and 1.6°. The geometry of the dental abutment 100 is symmetrical along the longitudinal axis 124.
The retention element 122 extends from the post 120 to the coronal portion 123. The retention element 122 has a base 128 and a shoulder 130 which meets the base 128 at a margin 132. The transition between the base 128 and the post 120 is a curve 134 with a radius of curvature 136 (see Figure 2B) of approximately 0.02 inches (0.51 mm). In some dental abutments, the radius of curvature 136 is more or less than 0.02 inches (0.51 mm) (e.g., between 0.01 and 0.03 inches (0.25 and 0.76 mm)) which can reduce stress factors and resulting fractures. The surface of the base 128 has a radius of curvature 138 (see Figure 2B) of approximately 0.08 inches (2.03 mm). In some dental abutments, the radius of curvature 138 is more or less than 0.08 inches (2.03 mm) (e.g., between 0.08 and 0.15 inches (2.03 and 3.81 mm)).
The shape of the base 128 provides for the consistent confrontation of what is an approximation of a hemispherical contour to tissues in the proximity to the periosteum. This confrontation in turn can stimulate osteoblastic activity and subsequent bone growth.
Between the hemisphere and the shoulder 130, the side of the abutment extends for a length Li to the margin 132. The perimeter (e.g., circumference) of the dental abutment increases at 1-2° in this portion of the dental abutment as distance from the apical end 116 of the dental abutment 100. In the dental abutment 100, the length Li is 0.16 inches (4 mm). As discussed in more detail below with reference to Figures 3A and 3B, some dental abutments are configured in which the length Li is more or less than 0.16 inches (4 mm) (e.g., between 0.05 (1.3 mm) and 0.32 inches (8.1 mm)). This variability provides the opportunity to use the same inferior or post and superior or head contours on the abutment, while providing the flexibility to use with implants placed at different depths within the jaw bone.
The diameter of the dental abutment at the margin 132 is 0.24 inches (6 mm). In some dental abutments, the diameter of the dental abutment at the margin 132 is more or less than 0.24 inches (6 mm) (e.g., between 0.16 inches (4 mm) and 0.31 inches (8 mm).
An angle β is defined between the shoulder 130 and a plane 140 that is perpendicular to the longitudinal axis 124. In dental abutment 100, the angle β is approximately 15°. In some dental abutments, the angle β is more or less than 15° (e.g., between 10° and 20°). It has been found that dental abutments in which the angle β is approximately 15° allow the scanning to be performed without any additional modifications or interpretations to the scan.
The coronal portion 123 includes a neck 142, an anti-rotation portion 144, and a bevel 146 at the coronal end of the dental abutment 100. The neck 142 has a length L2. The neck 142 is substantially cylindrical with sides that are substantially parallel to the longitudinal axis 124 of the dental abutment 100. Some dental abutments have necks with other shapes such as, for example, with rectangular or octagonal (rather than circular) cross-sections.
In contrast, the anti-rotation portion 144 of the coronal portion 123 is tapered with a cone angle γ such that the perimeter (e.g., circumference) of the coronal portion 123 at the coronal end of the anti-rotation portion 144 is smaller than the apical end of the anti-rotation portion 144. In dental abutment 100, the cone angle γ is approximately 3°. In some dental abutments, the angle γ is more or less than 3° (e.g., between 3° and 8°). It has been found that dental abutments in which the angle γ is more than 3° help enable scanning to be performed without any additional modifications or interpretations to the scan.
The surface of coronal portion 123 can be either rough or smooth based on the individual needs dictated by the procedure. A roughened surface can be achieved, for example, through the use of grit blasting. This provides a better surface for the adhesion of dental materials, such as opaque (i.e., composite dental resin that is used to cover unsightly dentition), as well as the crown 114 or prosthesis to the coronal portion 123. In particular, the roughened surface can facilitate the mechanical retention of chemical bonding agents such as opaque layers of composite resins or prosthetic cementing agents.
The structure of the coronal portion 123 provides the dental abutment 100 with a configuration that can be easily scanned. The perimeter (e.g., the circumference) of the dental abutment 100 increases monotonically from the coronal end 118 to the margin 132 defined between the base 128 and the shoulder. The edge between the bevel 146 and the anti-rotation portion 144 is smaller than the edge between anti-rotation portion 144 and the neck 142. The edge between the anti-rotation portion 144 and the neck 142 is smaller than margin 132 between the neck 142 and the base 128. As can be seen best in Figure 2C, the shoulder 130 is visible and clearly delineated which makes the shoulder 130 easy to record during digital scanning. In addition, the length L₃ (from the bevel 146 to the neck 142 of the coronal portion 123) is long enough that when present in concert with angle γ, allows all the edges of the dental abutment to be observed with a digital scanner without additional modifications or interpretations to the scan. Unlike abutments whose geometry preclude the use of digital scanning or require modification or interpretations of scanned images for use, the abutments presented in this application allow for easy digital scanning which enables the rapid and precise restorations of a tooth or teeth. This feature supports movement of the dental implant field toward customizable restorations or prostheses and digital dentistry with the increased use of CAD/CAM technologies.
The geometry of these dental abutments not only facilitate their recording by digital scanning technologies, but also allows for a singular conventional recording sleeve configuration to suffice for registering multiple different abutment dimensions. Further conventional dental impression materials can be used to record and represent their multiple different abutment dimensions prosthetically.
The anti-rotation portion 144 of the coronal portion 123 includes anti-rotation features in the form of two grooves 148 on opposite sides of the coronal end 118. The anti-rotational features help control the orientation of a prosthetic component or crown 114 which helps provide a precise fit of the prosthesis. The grooves also guide the prosthetic component or crown 114 into the correct orientation.
The anti-rotation grooves 148 located on opposite sides of the coronal end 118 of the dental abutment 100 are generally of a constant depth that slopes toward the shoulder to end the anti-rotational element. The sloping of the groove is symmetric to reduce material stress.
The length L₃ (see Figure 2A) of the anti-rotation portion 144 and the grooves 148 are nominally 0.125 inches (3.2 mm). The width W (see Figure 2A) of the grooves 148 is nominally 0.055 inches (1.4 mm). The depth D (see Figure 2B) of the grooves 148 is nominally 0.02 inches (0.51 mm). As discussed above, the anti-rotation portion 144 of the coronal portion 123 is tapered with an angle γ of approximately 3°. The angled surface allows the anti-rotational element (e.g., grooves 148) to work properly. In addition, the sloping surface facilitates attaching other components as it is difficult to attach additional components to parallel surfaces,
Some dental abutments have grooves 148 in which the length L₃ is more or less than 0.125 inches (3.2 mm) (e.g., between 0.1 (2.5 mm) and 0.3 inches (7.6 mm)), the width W is more or less than 0.055 inches (1.4 mm) (e.g., between 0.04 inches (1 mm) and 0.06 inches (1.5 mm)), and/or the depth D is more or less than 0.02 inches (0.51 mm) (e.g., between 0.010 inches (0.254 mm) to 0.030 inches (0.76 mm)). Some dental abutments include other anti-rotation features such as, for example, hexagonal or multi-sided flat surfaces and/or a variety of slots or grooves.
As discussed above, some dental abutments are configured in which the length Li (between the hemispherical portion of the base 128 and the margin 132) is more or less than 0.16 inches (4 mm) (e.g., between 0.06 inches (1.5 mm) and 0.32 inches (7 mm)).
Figures 3A and 3B compare the dental abutment 100 with a dental abutment 200 that has a length Li that is 0.24 inches (~ 6 mm). The dental abutment 100 and the abutment 200 have identical configurations except for the differences in the length Li. In particular, the dimensions of the post 120 are the same in both the dental abutment 100 and the abutment 200 such that a single type of dental implant can be used with either abutment. This configuration allows a dentist to set the position of the coronal portion 123 of the dental abutment 100, 200 relative to the gum above an implant regardless of the implant's axial position in the jawbone 112.
Some dental abutments have retention elements 122 that have different perimeters (e.g., diameters for the illustrated dental abutments). Figures 4A and 4B compare the dental abutment 100 with a dental abutment 300 in which both length L1 and the diameter of the retention element are smaller than those of the dental abutment 100. It accommodates implant wells that are more parallel for greater retention or wider for greater strength and resistance to metal fatigue and breakage.
The dental prostheses systems described above include versatile abutments with numerous advantages. Dentists may now make numerous uses and modifications of and departures from the specific embodiments and techniques disclosed herein without departing from the inventive concepts. For example, multiple dental abutments as described above can be used to support a single dental prosthesis. Figures 5A-5C show a system in which four dental abutments 100 are used to support a single dental prosthesis 114. In another example, dental abutments can be formed with the features described above but with the post set at angle relative to the coronal portion. Figures 6A and 6B show a dental abutment 400 in which an axis 124' of the post 120 set at angle relative to an axis 124" of the coronal portion 123.
Figures 7A-13B detail a dental coping designed for use with dental abutments, including, for example, those detailed above and in U.S. Application No. 14/591,654 . The dental abutment copings described below are designed for cemented fixation to a dental prosthesis. The dental abutment copings include a distal portion defining a cavity sized to accept the head of the dental abutment with a comparable taper and enable the dental prosthesis to be retentively fit onto plurality of dental abutments.
The dental abutment coping is designed to be used in sets of two or more units to provide an retentive frictional interference fit with a corresponding dental abutment, even where the abutments are not parallel. To do so, multiple dental abutment copings secure a dental prosthesis to multiple dental abutments, whereby at least one of copings includes a cavity sized to mate with a dental abutment in a retentive interference fit and the remaining copings mate with the remaining dental abutments in a passive fit. The retentive interference fitment may be, for example, a cylindrical section of the dental coping's cavity concentrically engaging a similarly sized cylindrical portion (e.g., the cylindrical neck 142 described above) of a dental abutment. The passive fit may be, for example, a dental coping's cavity shaped to accept the tapered head of the dental abutment with a comparable taper with reduced (relative to the retentive engagement) or no interfacing with the cylindrical portion of the dental abutment.
Passive and retentive copings can be readily interchanged to provide difference degrees of retention between the dental abutments and a dental prosthesis. Generally, it is noted that a retentive fit coping does not necessarily create a retentive fit with a single dental abutment inserted into it. Instead, in some instances, the use of a plurality of copings including one or more retentive fit copings enables a retentive fit between a dental prosthesis and the corresponding dental abutments, without any single coping/abutment pair of creating a retentive fit. Throughout the application "retentive fit" can refer to both the type of coping (e.g., a retentive fit coping designed to have a higher degree of interference fit between the coping and an abutment) and an overall fitment between a dental prosthesis having the copings and a plurality of corresponding dental abutments where, in some instances, at least one of the copings is a retentive coping.
In a retentive fit coping, the angle and diameter of an internal interface surface determines the 'degree' of interference fit when the coping is placed around the head of a dental abutment. In a retentive fit, more of the interface region is in contact with the cylindrical neck of the abutment. In a passive fit, less of the interface region is in contact with the cylindrical neck of the abutment. In some instances, a plurality of copings are to create a retentive fit between a plurality of dental abutments and a dental prosthesis secured to the copings. In some instances, varying the degree of interference fit between each coping and associated dental abutment varying the overall retentive fit between the dental prosthesis and dental abutments, without any one pair of copings and abutments being in a retentive fit with each other.
The dental abutment copings replace custom-made copings that are typically fabricated in a dental laboratory. The dental abutment coping can be fabricated to achieve a greater accuracy than the custom-made copings. For example, the design of a dental abutment coping can be created digitally in CAD/CAM software and delivered digitally to a milling or printing machine. Additionally, the copings can be digitally scanned and are compatible with CAD/CAM produced component parts. Also, because the copings are digitally fabricated, CAD/CAM produced restorations can consistently fit compatible components.
Figures 7A and 7B are, respectively, illustrations of retentive and passive fit dental abutment copings. Figure 7A shows a retentive coping 700 having an inner cavity 760 with a tapered surface 730 and a flat interface surface 720. The flat interface surface is substantially parallel (e.g., aligned within 0.5 degrees) to the axis of the coping. The exterior of the retentive coping 700 includes a tapered exterior surface 750 and a flat exterior surface 740. Two retentive channels 751 are cut into the tapered exterior surface 750. In retentive coping 700, the retentive channels 751 form two counter-rotating spirals around the tapered exterior surface 750. Some copings include more or fewer retentive channels 751 and/or retentive channels in other orientations (e.g., circular rather than spiral retentive channels). The open end of the retentive coping 700 also includes a peripheral surface 710 with an inwardly-facing bevel to accept the shoulder 130 of a dental abutment 100.
In operation, and as shown in Figure 9, the cavity 760 of the retentive coping 700 is sized to accept the coronal end 118 of a dental abutment 100, and the exterior surfaces 740, 750 are sized to be inserted into a dental prosthesis 114. The flat interface surface 720 is sized to accept the cylindrical neck 142 of the dental abutment 100 in a retentive interference fit, also shown in more detail in Figure 9. The retentive channels 751 provide a location for an adhesive material to be present between the tapered exterior surface 750 and an interface cavity of the dental prosthesis 114, as shown in more detail in Figure 12.
Figure 7B is an illustration of a passive fit coping 701 having an inner cavity 760 with a tapered surface 730 and a beveled interface surface 720. The exterior of the passive coping 701 includes a tapered exterior surface 750 and a flat exterior surface 740. Two retentive channels 751 are cut into the tapered exterior surface 750. The open end of the passive fit coping 701 also includes a peripheral surface 710 with an inwardly-facing bevel. In operation, and as shown in Figure 11, the cavity 760 of the passive fit coping 701 is sized to accept the coronal end 118 of a dental abutment 100, and the exterior surfaces 740, 750 are sized to be inserted into a dental prosthesis 114. The beveled interface surface 720 is sized to accept the cylindrical neck 142 of the dental abutment 100 without creating a retentive fit, as shown in more detail in Figure 9. The copings 700, 701 may be manufactured from any material able to be milled or printed, for example a metal such as titanium alloy or stainless steel or composite resins.
Figures 8A and 8B are, respectively, a side cross-section view and a front view of the retentive dental abutment coping 700. The exterior of the retentive coping 700 includes a tapered exterior region extending from a first end 770 to the flat exterior region, which is adjacent to the opposite end, which is open to receive a dental abutment. Although the first end 770 of the retentive dental abutment coping 700 is closed, the first ends of some dental abutment copings are open (e.g., see the dental abutment coping shown in Figures 14A - 14C).
Other embodiments may include a tapered exterior region extending from the first end 770 to the opposite open end. An interior of the retentive coping 700 includes a tapered interior region and interface region, together defining the cavity 760. In the retentive coping 700, the interface region includes the flat interface surface 720 configured to accept a cylindrical neck of the dental abutment 100 in a retentive interference fit. As shown, the interface surface 720 is parallel or substantially parallel within 0.5° with the longitudinal axis of the retentive coping 700. The tapered interior surface 730 increases the internal diameter of the cavity 760 from the closed or open end 760 to the opposite (open) end of the retentive coping 700.
Figure 8B is an illustration of a front-view of the retentive coping 700, with the cavity 760 shown as surrounded by the tapered interior surface 730 and the beveled peripheral surface 710. The body of the retentive coping 700 is symmetric about the central axis. In other embodiments, the cavity 760 may be orientated at an angle to the longitudinal axis of the exterior surfaces 740, 750 of the retentive coping 700.
Figure 9 is an illustration of the retentive dental abutment coping 700 of Figure 8A fitted to the head of a dental abutment 100. The interior tapered surface 710 of the retentive coping 700 has a taper angle (detailed in Figure 13B) sized to accept the tapered head 123 of the dental abutment 100. The flat interface surface 720 of the retentive coping 700 is positioned concentrically around the neck 142 of the dental abutment 100. The flat interface surface 720 may have a surface parallel to the longitudinal surface of the retentive coping 700, or may have a small angle to engage the retentive fit as the interface surface is slid onto the neck 142 of the dental abutment 100. The beveled peripheral surface 710 of the retentive coping 700 is against the shoulder 130 of the dental abutment 100.
In operation, the retentive coping 700 is placed onto the dental abutment 100 and the flat interface surface 720 of the retentive coping 700 slides around the neck 142 of the dental abutment 100 until the beveled peripheral surface 710 of the retentive coping 700 is against the shoulder 130 of the dental abutment 100. In this installed configuration, the tolerance (i.e., difference in diameters) between the flat interface surface 720 and the neck 142 of the dental abutment 100 determines the degree of retentive interface fit between the retentive coping 700 and the dental abutment. This tolerance can range from 0mm to 0.1mm. In some instances, the flat exterior surface 740 of the coping 700 is not quite the diameter of the outer surface 140 of the universal abutment 100; while the coping 700 still mates with the shoulder 130 of the universal abutment 100, it does not extend all the way to the outer edge 140. This configuration allows a greater volume of material to be milled around the coping 700 while maintaining a more narrow profile.
Figure 10A and 10B are, respectively, a side cross-section view and a front view of a passive dental abutment coping. Figure 10A shows the cross-sectional details of the passive coping 701. The exterior of the passive coping 701 includes a tapered exterior region extending from the first end 770 to the flat exterior region, which is adjacent to the opposite open end. Other embodiments may include a tapered exterior region extending from the first end 770 to the opposite open end. An interior of the passive coping 701 includes a tapered interior region and interface region, together forming the cavity 760. In the passive coping 701, the interface region includes the beveled interface surface 721 configured to accept a cylindrical neck of the dental abutment 100 without forming a retentive fit. The beveled interface surface 721 is sized and angled to adjust the degree of the passive vs. retentive fit. This beveled interface surface allows for more insertion angle possibilities for the abutment. A more angled abutment will engage the interface region more. The tapered interior surface 730 increases the internal diameter of the cavity 760 from the closed or open end 760 to the opposite (open) end of the retentive coping 700.
Figure 10B is an illustration of a front-view of the passive coping 701, with the cavity 760 shown as surrounded by the tapered interior surface 730, the beveled interface surface 721, and the beveled peripheral surface 710. The body of the passive coping 701 is symmetric about the central axis. In other embodiments, the cavity 760 may be orientated at an angle to the longitudinal axis of the exterior surfaces 740, 750 of the passive coping 701.
Figure 11 is an illustration of the retentive fit dental abutment coping of Figure 10A fitted on the head of a dental abutment. Figure 11 shows a passive coping 700 coupled to the head 123 of a dental abutment 100. The interior tapered surface 710 of the passive coping 701 has a taper angle (detailed in Figure 13B) sized to accept the tapered head 123 of the dental abutment 100. The beveled interface surface 721 of the passive coping 701 is positioned concentrically around the neck 142 of the dental abutment 100. The beveled peripheral surface 710 of the passive coping 701 is against the shoulder 130 of the dental abutment 100.
In operation, the passive coping 701 is placed onto the dental abutment 100 and the beveled interface surface 721 of the passive coping 701 slides around the neck 142 of the dental abutment 100 until the beveled peripheral surface 710 of the passive coping 701 is against the shoulder 130 of the dental abutment 100. In this installed configuration, the beveled interface surface 720 and the neck 142 of the dental abutment 100 form a slight friction fit, and the alignment of passive coping 701 on the dental abutment 100 is determined by the tapered interior surface 730 of the passive coping 701 resting against the tapered head 123 of the dental abutment.
Figure 12 is an illustration of a plurality of dental abutment copings being inserted into a dental prosthesis to fit the dental prosthesis to multiple dental abutments. Figure 12 shows a retentive coping 700 and three passive copings 701 positioned between corresponding dental abutments 100 in a patient's jawbone 112 and corresponding interface cavities 1201 in a dental prosthesis 114. In operation, a combination of retentive copings 700 and passive copings 701 are inserted 1299 into the interface cavities 1201 of a dental prosthesis 114 using, for example, a cement placed on the exterior tapered surface 750 of the copings 700, 701 to secure the copings into the dental prosthesis 114. One or more retentive channels 751 may be present on exterior tapered surface 750 to allow more of the cement to be present between the exterior tapered surface 750 of the copings 700, 701 and the interface cavities 1201 of a dental prosthesis 114.
Once secured to the dental prosthesis 114, the copings 700, 701 enable the dental prosthesis 114 to be placed on dental abutments 100 and coupled to the dental abutments 100 with a retentive fit. The combination of retentive copings 700 and passive copings 701 provide the degree of retentive fit and the alignment and support of the dental prosthesis 114 on the abutments 100. Two or more retentive copings 700 may be used for more secure (e.g., tighter) fit, and, in some configurations, the copings 700, 701 may be used to establish a retentive fit between the dental prosthesis 114 and the abutments 100 of a degree that requires a dentist to remove the dental prosthesis 114. In other configurations, the copings 700, 701 may be used to establish a retentive fit of a degree that allows the patient to remove the dental prosthesis 114.
Figures 13A and 13B are cross-section views of two dental abutment copings of different configurations showing the measurement of the surface angles. In Figure 13A, the cross-section of the retentive coping 700 of Figure 8A is shown, and in Figure 13B, the cross-section of the passive coping 701 of Figure 10A is shown. In both Figures 13A and 13B, the various surfaces (of Figures 8A and 10A) are depicted as extended dotted lines (e.g., lines 1310, 1311, 1320, 1330, 1350) for clarify in depicting their relationship to the central longitudinal axis 1390. Additionally, the angle 1381 of the beveled peripheral surface 1310, the angle 1350 of the exterior tapered surface, and the angle 1330 of the interior tapered surface are measured similarly in both the retentive coping 700 of Figure 13A, and the passive coping 701 of Figure 13B. The beveled peripheral surface 1310 is orientated inwards (towards the central longitudinal axis 1390) and measured at an angle 1381 to the plane 1380 normal to the central longitudinal axis 1390. The copings 700, 701 are shown symmetric about the central longitudinal axis 1390, but may include in alternate embodiments, for example, anti-rotation features for aligning the copings 700, 701 on a dental abutment 100.
Figure 13A shows the angle 1382 of the flat interface surface 1320 being perpendicular to the normal plane 1381 of the copings 700, 701 (i.e., parallel to the central longitudinal axis 1390). Figure 13B shows the beveled interface surface 721 orientated inwards (towards the central longitudinal axis 1390) and measured at an angle 1382 to the normal plane 1380 to the central longitudinal axis 1390.
In an exemplary embodiment, the tapered exterior region 750 defines a taper angle 1385 between 3° and 8°. The angle 1381 of the beveled peripheral surface is at least between 12° and 18° relative to the longitudinal axis 1390. The angle of the beveled interface surface 721 is at least between 20° and 30° relative to the normal plane 1380.
Figures 14A and 14B are, respectively, perspective and side cross-section views of a retentive-fit dental abutment coping having a thru opening. Figure 14A shows a retentive-fit dental abutment coping 1400 with opposing first and second open ends 1470a,b forming a thru opening 1460. The exterior surface 1450 of the coping 1400 includes a retentive channels 1451 to contain a mechanical or adhesive bonding agent. Figure 14B shows a side cross-section of the retentive-fit dental abutment coping 1400. The thru opening 1460 is visible extending from the first open end 1470a to the second end open 1470b of the retentive-fit dental abutment coping 1400. The peripheral surface 710, interface surface 720 and tapered interior surface 730 of the retentive-fit dental abutment coping 1401 are sized and shaped similarly to the closed-end retentive-fit dental abutment copings 700 (Figures 7A, 8A, and 9) and provide similar functions. Some passive-fit retentive-fit dental abutment copings (not shown) also have a thru opening configuration with corresponding interior and peripheral surfaces as the closed-end passive-fit dental abutment coping 701 (Figures 7B, 10A, and 11).
Figure 14C is a front perspective view of the retentive-fit dental abutment coping having a thru opening of Figures 14A and 14B.
In either of the closed- end 700, 701 and thru opening copings 1400, a portion of the end of the coping body distal to the peripheral surface 710, for example, closed end 770 and first open end 1470a) may form a hemispherical or domed section, or other rounded shape, to improve insertion of the coping 700, 701, 1400 into a dental prosthesis 114.
Consequently, the claims are to be construed as embracing each and every novel feature and novel combination of features presented in or possessed by the apparatus and techniques herein disclosed.
Figures 15A-D are perspective and cross-sections views of a passive and retentive copings having an exterior shoulder. Figures 15A and 14B are, respectively, side cross-section and perspective views of a retentive-fit dental abutment coping having a thru opening. Figure 14A shows a retentive-fit dental abutment coping 1500 with a hemispherical front end 1570 and a protruded flat exterior surface 1540 defining a shoulder 1541 at the open end of the coping 1500. In some instances, the shoulder 1541 enables more restorative material to be built around the coping 1500. In some instances, the height of the shoulder 1541 (e.g., the distance from the protruded flat exterior surface 1540 to the tapered exterior surface 1550) is between 0mm-2mm. The exterior surface 1550 of the coping 1500 includes a retentive channels 1551 to contain a mechanical or adhesive bonding agent. Figure 15A shows a side cross-section of the retentive-fit dental abutment coping 1501. The cavity opening 1560 is visible extending from the hemispherical front end 1570 of the retentive-fit dental abutment coping 1500. The peripheral surface 710, interface surface 720 and tapered interior surface 730 of the retentive-fit dental abutment coping 1500 are sized and shaped similarly to the previously described retentive-fit dental abutment coping 700 (Figures 7A, 8A, and 9) and provide similar functions. Figures 15C and 15D show a passive-fit retentive-fit dental abutment coping 1501 also having a hemispherical front end 1570 and a protruded flat exterior surface 1540 defining a shoulder 1541 at the open end of the coping 1501, with similar interior and peripheral surfaces as the retentive-fit dental abutment coping 1500.
There has been described novel apparatus and techniques in connection with dental implantation. It is evident that those skilled in the art may make numerous modifications of and departures from the specific apparatus and techniques herein disclosed without departing from the inventive concepts. Consequently, the invention is to be construed as embracing each and every novel concept and combination of concepts disclosed herein and limited only by the scope of the appended claims.

Claims

A dental prosthesis system comprising:
a plurality of dental abutments (100);

a dental prosthesis (114) including a plurality of interface cavities; and

a first dental abutment coping (700), comprising:
a body extending from a first end (770) to a second end along a first longitudinal axis, the body defining a cavity (760) extending from an opening in an open end of the first dental abutment coping (700), wherein the body is symmetric about a central longitudinal axis, the body comprising:
an exterior surface (750) adapted to be inserted into one of the interface cavities of the dental prosthesis (114),

a peripheral region of the second end, the peripheral region extending around the opening and comprising a first beveled surface (721) oriented towards the first longitudinal axis, and

an interior surface sized (730) to accept a head of each of the plurality of dental abutments (100), the interior surface having a tapered interior region and an interface interior region, the interface interior region being between the peripheral region and the tapered interior region, and the tapered interior region defining an increasing internal diameter of the cavity between a distal end of the cavity (760) and the interface interior region,

the interface interior region of the first coping comprising an

interface surface substantially parallel to the first longitudinal axis;

a second dental abutment coping (700), comprising:
a body extending from a first end (770) to a second end along a second longitudinal axis, the body defining a cavity (760) extending from an opening in the second end of the second dental abutment coping (700), wherein the body is symmetric about a central longitudinal axis, the body comprising:
an exterior surface (750) adapted to be inserted into one of the interface cavities of the dental prosthesis (114),

a peripheral region of the second end, the peripheral region extending around the opening and comprising a first beveled surface (721) oriented towards the second longitudinal axis, and

an interior surface sized to accept a head of each of the plurality of dental abutments (100), the interior surface having a tapered interior region and an interface interior region, the interface interior region being between the peripheral region and the tapered interior region, and the tapered interior region defining an increasing internal diameter of the cavity between a distal end of the cavity and the interface interior region, and

the interface region of the second coping comprising a second beveled surface (721) oriented towards the second longitudinal axis at an angle relative to the second longitudinal axis;

wherein the plurality of dental abutments (100) each comprises:
a retention element (122) with a base (128) oriented towards an apical end (116) of the dental implant (110) and a shoulder (130) oriented towards a coronal end of the dental abutment (100) at an angle relative to the central longitudinal axis such that the perimeter of the retention element (122) increases with increasing distance from the coronal end of the dental abutment (100) through the region of the shoulder (130) and oriented at an angle of at least 12.5° relative to the central longitudinal axisof each dental abutment (100), and wherein the angle of the first beveled surface (721) of the first and second copings is at least 12.5° relative to the first and second longitudinal axis,

a post extending from the apical end of the dental abutment to the base of the retention element (122), and

the head extending from the coronal end of the dental abutment (100) to the shoulder of the retention element (122), dental abutment,

wherein the exterior surface (750) of the first and second dental abutment copings includes a tapered exterior region extending from the first end a length of the longitudinal axis, the tapered exterior region defining an increasing exterior diameter of the body along the length.
The system of claim 1, wherein the exterior surface (750) of the first and second dental abutment copings (700) defines one or more channels containing mechanical bonding to the exterior surface to the dental prosthesis (114).
The system of claim 1, wherein the exterior surface (750) further includes a flat exterior region along the first longitudinal axis, the tapered exterior region extending from the first end to the flat exterior region, the tapered exterior region defining an increasing exterior diameter of the body from the first end to the flat exterior region.
The system of claim 1, wherein the head of each of the plurality of dental abutments (100) has a cone angle between 3° and 8°, and wherein the tapered exterior region of the first and second copings defines a taper angle between 2° and 4°.
The system of claim 1, wherein each dental abutment (100) further comprises a cylindrical neck element positioned between the head and the retention element (122), the interface surface of the first coping accepting the cylindrical neck element of a first one of the plurality of dental abutments(100) in a retentive friction fit, and the second beveled surface of the second coping accepting the cylindrical neck element of a second one of the plurality of dental abutments (100).
The system of claim 1, wherein the first dental abutment coping (700) is symmetric about the first longitudinal axis and the second dental abutment coping (700) is symmetric about the second longitudinal axis.
The system of claim 1, wherein the first end of the first and second dental abutment copings (700) is a closed end and the second end of the first and second dental abutment copings (700) is an open end.
The system of claim 1, wherein the cavity (760) of the first and second dental abutment copings (700) is a thru opening extending from the opening in the second end to a corresponding opening in the first end.
The system of claim 1, wherein the body of the first and second dental abutment copings (700) is one of a milled body, a machined body, and a printed body.
The system of claim 1, wherein the body of the first and second dental abutment copings (700) is constructed from an additive manufacturing process.